Truck Bodies & Equipment

Providing Excellent Service Since 1947

 

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(559) 233-3277

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For more information, please call Ruckstell California Sales Co at (559) 233-3277.

This warranty request is designed to be completed by the applicant and submitted with all the (*) required fields as marked below.

PLEASE FILL THE OWNER INFORMATION OUT BELOW

Distributor Information

Owner Information

Distributor
Ruckstell California Sales Co
3399 East Malaga Avenue
Fresno, CA 93725
Owner:*

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Attn:*

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Address:*

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City:*

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State:*

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Zip:*

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Email Address:*

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Serial Number:

In Service: Failure Date: Repair Date:

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CHASSIS INFORMATION

Vin Number:

Make: Model: Engine Hours:

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What was the customers complaint?
Please be specific.

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What did you do to repair the machine?
Be specific, (REPAIR AND REPLACE) is not acceptable.

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Invoice Number(s) for parts used in repair:
If more than one separate with a comma.

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Quantity Part Number Description/Replacement Part Serial Number ($) Credit Requested
Each

Total


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$
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Total Heil Purchased Parts:

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Total Labor:

$
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Total Outside Matl/Parts:

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Total Freight:

$
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CALCULATE CLAIM TOTAL BEFORE HITTING SUBMIT BELOW:

$
CALCULATE CLAIM

ADDITIONAL INFORMATION


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SUBMIT WITHIN 14 DAYS FROM DATE REPAIRS COMPLETED. VOID IF NOT RECIEVED WITHIN 60 DAYS
SIGNATURE* DATE*

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Please sign and date this form and hit the submit button below.




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